Permit CITY OF TIGARD PERMIT
PERMIT #: BUP2004 -00332
DEVELOPMENT SERVICES DATE ISSUED: 7/13/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S112DA -01400
SITE ADDRESS: 06650 SW REDWOOD LN 290
SUBDIVISION: PP1996 -048 ZONING: I -P
BLOCK: LOT: 002 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 2 -1 HR : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 550.00
Remarks: Move (2) existing horn strobes, add (2) door holders.
Owner: Contractor:
PACIFIC REALTY ASSOCIATES FIRE PROTECTION SERVICES
15350 SW SEQUOIA PKWY #300 -WMI 15100 SW 139TH
PORTLAND, OR 97224 TIGARD, OR 97224
Phone:
Phone: 509 -3732
Reg #: LIC 121039
FEES REQUIRED INSPECTIONS
Description Date Amount Fire Alarm Insp
[BUILD] Permit Fee 7/13/2004 $62.50 Final Inspection
[TAX] 8% State Surchari 7/13/2004 $5.00
[FLS] FLS Pin Rv 7/13/2004 $25.00
Total $92.50
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
Issued By: - 7.:2,11
Permittee
Signature:
Call 639 -4175 by 7 p.m. for an inspection the next business day
lire Protection System
Building Permit Application FOR OFFICE USE ONLY
City of Tigard
Received 7� O Permit No JIMMY 33„„/
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review, C
Phone: 503.639.4171 Fax: 503.598.1960 "� ' Date/By: I -4„." — U 058 Other Permit:
Inspection Line: 503.639.4175 ■ ^' Date Ready/By: Juris: ® See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: T \C Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY WELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
® Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El 1- and 2- family dwelling ® Commercial /industrial Valuation: $
El Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 6650 SW RedWood Lane New dwelling area: square feet
City/ State/ZIP: Tigard OR Garage/carport area: square feet
Suite/bldg. /apt. no.: 290 Project name: Fairway Mortgage Covered porch area: square feet
Cross street/directions to job site: Sequoia Parkway Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I Lot no.: Permit fees' are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Move 2 existing horn strobe to accomidate coverage Valuation: $$550.00
Existing building area: square feet
Add 2 contractor supplied door holder to existing door hold open circut New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Pacific Realty Associates Type of construction:
Address: 15350 SW Sequoia Parkway #300 -WMI Occupancy groups:
City/ State/ZIP: Tigard Or,97224 Existing:
Phone: (503)624 -3445 Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City/ State/ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) I Fax: : ( )
E -mail:
CONTRACTOR
Business name: Fire Protection Services Inc BUILDING PERMIT FEES*
Address: 18270 SW Mountain Home Rd
Please refer to fee schedule.
City/State/ZIP: Sherwood, Or
Fees due upon application
Phone: (503) 590 -3732 I Fax: (503) 628 -6214
Amount received
CCB lic.: 154333
Date received:
Authorized signature: This permit application expires if a permit is not obtained
1 W within 180 days after it has been accepted as complete.
Print name: Date: O • Fee methodology set by Tri -County Building Industry
Service Board.
i:\Building\Permits \FPS- PermitApp.doe 12/03 440- 4613T(11 /02/COM/WEB)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST //�
BUPp2L`T'DU
Received Date Requested - 7 - 1 Ito AM PM BUP
Location . �[ Suites f D MEC
Contact Person 1 }--�� Ph ( ) 5 V -5 7, PLM
Contractor ° Ph ( ) 351 - � �5 8' SWR
BUILDING Tenant/Owner /. _ J _ _ v — ELC
Footing d / ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation - ,, ,1 /V��L_
Drywall Nailing 1W7
Firewall
Fire Sprinkler
a a Ceiling
Roof
Oth : • .
PART FAIL
■ ING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
(
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL \
Service
Ro gh - In L
Low Voltage 111./ ` `, -��-��
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE El Please call for reinspection RE: Unable to inspect – no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL